Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACQUELINE MARIA FENNERTY, DPM
Active Sole ProprietorDR. JACQUELINE MARIA FENNERTY, DPM is a Podiatrist healthcare provider located in SPRINGFIELD, Oregon. NPI 1992871495 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · SPRINGFIELD, OR
Registration Details
- NPI Number
- 1992871495
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 27, 2006 (19.683368480197 yrs)
- Last Updated
- Jan 14, 2025
- License
-
DP00292 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1435 G STSPRINGFIELD, OR, 974774113Browse OR providers · Browse ZIP 97477
- Phone
- 5417359420
- Primary Specialty
-
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.